61.3 🩺 內科專科考前版

61.3.0.1 📌 䞀頁重點

  • 22E 匷調 paraneoplastic skin signs + autoimmune skin clues
  • Taiwan: 糖尿病高 → AN, NL, foot ulcer 倚

61.3.0.2 🌟 Pearls (8)

  1. AN 突癌cancer screen ASAP特別 gastric
  2. Dermatomyositis age-appropriate cancer screen at dx + 1, 3 yr
  3. Calciphylaxis mortality 50%+ — STS, IV thiosulfate, 治療 hyperphos
  4. NME glucagonoma 眕芋䜆兞型
  5. Sweet syndrome trigger 評䌰AML, drug, infection
  6. PCT (porphyria cutanea tarda) with HCV / HIV
  7. Erythema gyratum repens = lung cancer (rare)
  8. Acrodermatitis enteropathica = Zn deficiency

61.3.0.3 📍 Taiwan

  • DM 高 → AN, NL 普及
  • HCV 高 → PCT 譊芺
  • IBD 䞊升䞭 → PG/EN
  • Calciphylaxis with high dialysis prevalence

61.3.0.4 🎓 內專重點

  1. 內分泌 / GI / 肝 / 腎 / cancer 對應皮膚埵
  2. Paraneoplastic syndromes
  3. Autoimmune connective tissue disease

⚠ AI 草皿。